Association between off-hour admission of critically ill children to intensive care units and mortality in a Japanese registry

Abstract Limited information exists regarding the effect of off-hour admission among critically ill children. To evaluate whether children admitted to intensive care units (ICUs) in off-hour have worse outcomes, we conducted a cohort study in 2013–2018 in a multicenter registry in Japan. Pediatric (...

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Autores principales:	Takahiro Kido, Masao Iwagami, Toshikazu Abe, Yuki Enomoto, Hidetoshi Takada, Nanako Tamiya
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1f3330da30fa481db4fc47ce3fd2bee5
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spelling	oai:doaj.org-article:1f3330da30fa481db4fc47ce3fd2bee52021-12-02T17:03:49ZAssociation between off-hour admission of critically ill children to intensive care units and mortality in a Japanese registry10.1038/s41598-021-94482-02045-2322https://doaj.org/article/1f3330da30fa481db4fc47ce3fd2bee52021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-94482-0https://doaj.org/toc/2045-2322Abstract Limited information exists regarding the effect of off-hour admission among critically ill children. To evaluate whether children admitted to intensive care units (ICUs) in off-hour have worse outcomes, we conducted a cohort study in 2013–2018 in a multicenter registry in Japan. Pediatric (age < 16 years) unplanned ICU admissions were divided into regular-hour (daytime on business days) or off-hour (others). Mortality and changes in the functional score at discharge from the unit were compared between the two groups. We established multivariate logistic regression models to examine the independent association between off-hour admission and outcomes. Due to the small number of outcomes, two different models were used. There were 2512 admissions, including 757 for regular-hour and 1745 for off-hour. Mortality rates were 2.4% (18/757) and 1.9% (34/1745) in regular-hour and off-hour admissions, respectively. There was no significant association between off-hour admission and mortality both in model 1 adjusting for age, sex, and Pediatric Index of Mortality 2 (adjusted odds ratio [aOR] 0.89, 95% confidence interval [CI] 0.46–1.72) and in model 2 adjusting for propensity score predicting off-hour admission (aOR 1.05, 95% CI 0.57–1.91). In addition, off-hour admission did not show an independent association with deterioration of functional score.Takahiro KidoMasao IwagamiToshikazu AbeYuki EnomotoHidetoshi TakadaNanako TamiyaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Takahiro Kido Masao Iwagami Toshikazu Abe Yuki Enomoto Hidetoshi Takada Nanako Tamiya Association between off-hour admission of critically ill children to intensive care units and mortality in a Japanese registry
description	Abstract Limited information exists regarding the effect of off-hour admission among critically ill children. To evaluate whether children admitted to intensive care units (ICUs) in off-hour have worse outcomes, we conducted a cohort study in 2013–2018 in a multicenter registry in Japan. Pediatric (age < 16 years) unplanned ICU admissions were divided into regular-hour (daytime on business days) or off-hour (others). Mortality and changes in the functional score at discharge from the unit were compared between the two groups. We established multivariate logistic regression models to examine the independent association between off-hour admission and outcomes. Due to the small number of outcomes, two different models were used. There were 2512 admissions, including 757 for regular-hour and 1745 for off-hour. Mortality rates were 2.4% (18/757) and 1.9% (34/1745) in regular-hour and off-hour admissions, respectively. There was no significant association between off-hour admission and mortality both in model 1 adjusting for age, sex, and Pediatric Index of Mortality 2 (adjusted odds ratio [aOR] 0.89, 95% confidence interval [CI] 0.46–1.72) and in model 2 adjusting for propensity score predicting off-hour admission (aOR 1.05, 95% CI 0.57–1.91). In addition, off-hour admission did not show an independent association with deterioration of functional score.
format	article
author	Takahiro Kido Masao Iwagami Toshikazu Abe Yuki Enomoto Hidetoshi Takada Nanako Tamiya
author_facet	Takahiro Kido Masao Iwagami Toshikazu Abe Yuki Enomoto Hidetoshi Takada Nanako Tamiya
author_sort	Takahiro Kido
title	Association between off-hour admission of critically ill children to intensive care units and mortality in a Japanese registry
title_short	Association between off-hour admission of critically ill children to intensive care units and mortality in a Japanese registry
title_full	Association between off-hour admission of critically ill children to intensive care units and mortality in a Japanese registry
title_fullStr	Association between off-hour admission of critically ill children to intensive care units and mortality in a Japanese registry
title_full_unstemmed	Association between off-hour admission of critically ill children to intensive care units and mortality in a Japanese registry
title_sort	association between off-hour admission of critically ill children to intensive care units and mortality in a japanese registry
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/1f3330da30fa481db4fc47ce3fd2bee5
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Association between off-hour admission of critically ill children to intensive care units and mortality in a Japanese registry

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